5433 FNP II Final Exam Questions With Complete
Solutions
You have just diagnosed a 9 year old with asthma, what is the initial therapy
according to the GINA Guidelines?
A. Oral Montelukast plus albuterol
B. Low dose Budesonide when albuterol is used
C. Medium dose Budesonide daily
D. Lose dose Budesonide daily
B. Low dose Budesonide when albuterol is used
You have a 20 year old patient with asthma on a low dose Budesonide and
Formoterol maintenance and deliver therapy (MART) . He is waking with
symptoms twice weekly. What medication change will the NP?
Increase to a medium dose Budesonide and Formoterol maintenance and deliver
therapy (MART)
Why is is essential to diagnose patients who have both asthma and COPD
(ACO)?
A. Giving a LABA without ICS can be fatal to patient with COPD
B. Giving ICS to COPD patients can be fatal
C. Giving LABA without ICS can be fatal to asthmatics
D. Giving a SABA without ICS can be fatal to asthmatics
C. Giving LABA without ICS can be fatal to asthmatics
Your patient has an mMRC score of 3 and 1 exacerbation but no
hospitalizations. The patient patient is currently taking oldaterol and albuterol.
Which of the following medications should be added?
A. Roflumilast
B. Tiotropium
,C. Budesonide
D. Azithromycin
B. Tiotropium
Which of the following side effects need to be monitored when children are
taking Montelukast?
A. Early puberty
B. Hyperactivity
C. Mood changes
D. Dry nose
C. Mood changes
Marty a 20 year old male living in the dormitory at UTA come to the health clinic
the a fever and complaints of fatigue and cough. Chest x ray confirms
pneumonia. What is the most appropriate antibiotic? He is allergic to
Macrolides.
A. Amoxicillin 2g three times daily
B. Doxycycline 100mg twice daily
C. Azithromycin 500mg on first day then 250 md daily
D. Clarithromycin 500mg twice daily
B. Doxycycline 100mg twice daily
Amoxicillin 1g three times daily is also correct
A 75 year old female in your clinic with cough and fatigue. She was seen 3 weeks
ago for a UTI and treated Amoxicillin-Clavulanate. Chest c Ray confirms
pneumonia. Culture reveals strep pneumoniae. Which of the following is the
most appropriate antibiotic for treatment?
A. Moxifloxacin
B. Azithromycin
C. Doxycycline
D. Amoxicillin
,A. Moxifloxacin
Patient with COPD has had 1 exacerbation. A mMRC score of 1 and no
hospitalizations. Which of the following medication should they be on? SATA
A. Salbutamol
B. Albuterol
C. Budesonide/Fomoterol
D. Fluticasone/Salmeterol
E. Tiotropium
A. Salbutamol
B. Albuterol
Bronchodilator (either a SABA or LABA)
Which of the following conditions presents with a "slapped cheek" appearance?
A. Tuberculosis
B. Whooping cough
C. Kawasaki Disease
D. Lyme Disease
E. Rocky Mountain Spotted Fever
F. Fifths Disease
F. Fifths Disease
Which of the following complications are common in non immuneconprimised
adults with Fifths Disease?
A. Chronic Bone marrow failure
B. Chronic anemia
C. Arthritis
D. Migraines
C. Arthritis
Which of the following patients is a candidate to start Balaxavir?
, A. A 2 year old symptomatic with the flu for 48 hrs
B. A 3 year old with asthma symptomatic with flu for 24 hrs B
C. A healthy 5 year old symptomatic with the flu for 48 hours
D. A healthy 12 year old recovering from the flu without complications
C. A healthy 5 year old symptomatic with the flu for 48 hours
Breakthrough chicken pox are normal after vaccination, True or False?
True
Which of the following antivirals are preferred in pregnancy?
A. Oseltamivir
B. Zanamivir
C. Peramivir
D. Baloxavir
A. Oseltamivir
What is the causative organism of Mononucleosis?
Epstein-Barr virus
Which of the following HPV viruses is an independent risk factor for oral
Cancer?
A. HPV 18
B. HPV 16
C. HPV 36
D. HPV 26
B. HPV 16
What age is shingles vaccine recommended?
50 years and older
When should pregnant women get vaccines for Tdap?
All pregnant women should get this booster with each pregnancy between weeks
27 and 36 weeks gestation